Adult Medicine Center of South Florida PA

Organization Active NPI Medical Specialty Clinic/Center · Jupiter, FL

NPI 1083854475 · NPPES record last updated Jul 3, 2014

Key facts

NPI
1083854475
Entity type
Organization (NPI type 2)
Primary specialty
Medical Specialty Clinic/Center 261QM2500X
License
ME0073832 (FL)
Legal business name
ADULT MEDICINE CENTER OF SOUTH FLORIDA PA
Practice address
601 University Blvd
Suite 207
Jupiter, FL 33458-2788
Phone
(561) 745-7878
Fax
(561) 745-7876
NPI assigned
Feb 25, 2009
Organization subpart
No

Authorized official

Name
Dr. Irma V Lopez, MD
Title
Physician
Phone
(561) 745-7878

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in FL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20090707000584 FL Part B Supplier - Clinic/Group Practice 1658422472 Receives reassigned benefits from 4 practitioners
Practice locations: Jupiter, FL

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X ME0073832 FL Yes

Addresses

Primary practice location

601 University Blvd
Suite 207
Jupiter, FL 33458-2788

Mailing address

PO Box 2208
Jupiter, FL 33468-2208
Phone (561) 745-7878

Other providers in Jupiter, FL

All providers in Jupiter, FL · Medical Specialty Clinic/Center in Florida

Sources for this page

Verify at the official NPI Registry.